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SOLDERMANN yoann, Boujnah Ygal, Cornut Pierre Loic, Beccat Sylvain, Burillon Carole; Morphologic changes after retinal detachment surgery using spectral domain optical coherence tomography. Invest. Ophthalmol. Vis. Sci. 2013;54(15):2872.
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© ARVO (1962-2015); The Authors (2016-present)
To analyse macular region using spectral domain optical coherence tomography (SD-OCT) 3 months after retinal detachment surgery.
Patients treated for retinal detachment were included in this retrospective study between March 2010 and August 2012. Patients underwent a macular SD-OCT analysis for both eyes 3 months after surgery (macular cube analysis and high definition aquisitions) to assess macular thickness, vitreo-macular junction, persistent subretinal fluid, external limited membrane and IS/OS (inner segment/outer segment) junction line integrity.
155 eyes (101 males and 54 females) were included. Mean age was 59,8 years (15,5 to 84,5). Pre operative macular detachment was observed in 18% of cases. 31 eyes underwent an ab externo procedure and 124 eyes were treated by posterior vitrectomy. Mean best corrected visual acuity was 20/400 (1,25 log MAR, 0 to 2,90) before surgery and 20/40 (0,37 log MAR, 0 to 2,3) after surgery. 3 months after surgery, mean macular thickness was 291 μm (99 to 686) for treated eyes and 266 μm (116 to 455) for controlateral eyes. Macular OCT analysis founded IS/OS junction line alteration in 42,5% of cases, external limited membrane line disappearance in 27,3%, macular epiretinal membrane in 45%, persistent subretinal fluid in 17,8% and macular edema in 12,2% of cases at 3 months.
Macular SD-OCT analysis 3 months after retinal detachment surgery showed macular changes in 64,5% of cases in our study. SD-OCT is useful to demonstrate frequent macular changes arising after retinal detachment surgery and to better understand functional complaints.
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